Detroit - Gratiot P.C.

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

DETROIT - GRATIOT P.C.

Practice address

11180 Gratiot Ave
Detroit, MI 48213-1363

Phone

(313) 245-1780

NPI assigned

Dec 17, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mike Cole

Title

Insurance Director

Phone

(727) 726-1611

Specialties & licenses 1

Addresses

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ray Anthony Najarro Ascano, DDS

  • Dentist
  • Saint Clair Shores, MI
  • NPI 1447326012
  NPD (past)
• Chandravadan Pancholi, DDS

  • Dentist
  • Warren, MI
  • NPI 1639127384
  NPD (past)
• George Ziyadeh

  • General Practice Dentistry
  • Detroit, MI
  • NPI 1891831632
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197849600000",
    "number": "1841473568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11180 GRATIOT AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482131363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11180 GRATIOT AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482131363",
            "telephone_number": "313-245-1780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DETROIT - GRATIOT P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-17",
        "last_updated": "2007-12-17",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "INSURANCE DIRECTOR",
        "authorized_official_telephone_number": "727-726-1611"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amie Dawn Detharidge, OTRL
• Detr Med Ctr Harper Hosp
• Detriot Medical Center
• Detroit - 8 Mile P.C.
• Detroit - Grand River P.C.
• Detroit - Plymouth P.C,
• Detroit - Washington P.C.
• Detroit Anesthesia Services PLLC
• Detroit Area Agency on Aging
• Detroit Area Agency on Aging

• Dentist in Detroit, MI
• Providers in Detroit, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.